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tv   Sanjay Gupta MD  CNN  April 24, 2010 7:30am-8:00am EDT

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texas, arkansas, mississippi, alabama, georgia will be under the gun today, as well. but watches and warnings popping up. if we need to, we'll cut in and let you know about the immediate issues if needs be but for now want to hand it over to sanjay gupta md which begins right now. good morning, i'm dr. sanjay gupta. welcome to a pla us to liearn hw to live longer and stronger. i'm your doctor and coach. some of the teens are spending 3,000 texts a month. i got three kids. i think about this all the time. that's a hundred a day and some doctors are worried. this woman, lyisa sanders. she's going to tell us a lot of things including the one thing you don't want to do when solving a medical mystery. that's order more tests. a medical mystery. something on your bodies every day and the government may be trying to regulate how much of
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it we can have. let's get started. i can tell you more and more adults are doing this but teens have it down to a science. we're talking about texting. for many it's a social lifeline but there's evidence it could be an addiction. a new study finds many teens send upwards of a hundred texts a day. deb feyerick has some surprising new research. >> reporter: go. how fast can your average teen text a single line? faster than someone not in high school. mine's not even english. for sarah on the right, and april and sarah, texts may be important as talking. how many text do you send and receive every day? >> probably around 200. >> a couple hundred. >> varies. >> reporter: varies studies show
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to the tune of well over 3,000 texts a month for the average teenager. the question now, are teens texting too much? >> it's right by my bed when i go to sleep and when i wake up. like the first thing i go to. >> reporter: 80% of all kids own a cell phone and the rate of texting skyrocketing 600% in three years. why is it so important for you to know when somebody's trying to reach you? >> you feel like you're missing someone. >> if someone texts me and i feel like i missed out on the moment. >> reporter: do you sometimes feel your mood changing depending on how often you receive the texts or the speed? >> yeah. >> reporter: like what? give me some examples. >> if someone responds right away you're like, yeah, they responded or two to three hours later, you are like, what's going on? >> reporter: sound addictive? could be. doctors say texts and the instant gratification floods the brain's pleasure sensor with
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dope mean. >> studies have shown that the kids texting have that area of the brain light up the same as an addict using heroin and they will actually describe when i don't have it i feel bad, i feel anxious or sad. >> reporter: it is like the new neek teen? >> reporte >> that's a good description. >> reporter: brain doctor michael cipher treats teens with sleeping disorders and discovered one out of five of them are interrupting the sleep to text triggering problems. >> with a lack of sleep, they're having a problem performing, going from "a" or honor roll students to barely passing. >> reporter: that's the worst case. these teens get good grades and take part in afterschool activities though texting does sometimes get them in trouble and while the behavior can be addictive, teens say they're confident they can quit cold turkey. >> maybe i'd have some like
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withdrawal symptoms like i'd get anxious and wonder what's going on but once i realized that nothing bad is happening, it's fine without my phone. >> okay. you know what else we hear in texting can lead to injuries like chronic pain of the neck, arm and hand. you see people texting like this using one thumb. that's terrible. most people use two thumbs but over the time the point is you can develop tendinitis and arthritis in the thumb. a lot of people hunch over, as well, when texting like this and can cause neck and back pain. i'm getting a text now but there's tips to follow for pain-free texting. stand up straight when texting. try resting the device on a flat surface and use both thumbs. that kuts down on the strain. last and most importantly, try to cut down on the overall texting. good luck with that, right? text like this. she's a former tv producer,
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became a doctor and now adviser for the television program "house." i will have a fascinating conversation with a medical detective and decide to take a trip to the grocery store. my wife would be so happy. but i did it to answer some of your questions. and when it does, men with erectile dysfunction can be more confident in their ability to be ready with cialis. with two clinically proven dosing options, you can choose the moment that's right for you and your partner. 36-hour cialis and cialis for daily use. cialis for daily use is a low-dose tablet you take every day, so you can be ready anytime the moment's right. day or night. >> tell your doctor about your medical condition and all medications and ask if you're healthy enough for sexual activity. >> don't take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. >> don't drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache, or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting more than 4 hours. >> if you have any sudden decrease or loss
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we got today from carlie in north carolina who asked specifically about food choices changing as we age. i came to a tore to answer a few plate of questions. as a father of three kids and a husband, i do shopping and i shop the perimeter of the store. why? you get a lot of healthy foods, vegetables. try to eat seven different colored foods a day and the same habits of purchasing when we're younger they got to change as we get older. one of the places i spend time is here in the green section to get spinach, kale, good for the eyes and bones. all these things you need particularly as you age. stay away from processed foods as much as possible. get enough dairy, that's important. not just milk but cheeses, as well. to have meat, there's good options as far as meat goes. make sure you get meat with fewer calories, less fat. sometimes costs more money and sometimes worth the cost, as well. another question now, deborah,
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one of the cnn.com bloggers writes about protein sources that aren't meat. what are the other options here? first of all, it is a myth to get all the protein from meat. there are lots of different options out there. for example, come to an aisle like this. find foods like tofu. people like to scrunch up their nose hearing tofu. stir fry that. cottage cheese is good, 19 grams a serving. women need about 46 grams a day. men about 56 grams a day. one of the things that comes up quite a bit is discussion about protein shakes. are they potentially a good option when it comes to trying to improve your protein stores, the answer is sometimes they can be. a couple of quick tidbits with protein. there are a lot of options out there, obviously. look at the labels. see the type of protein, the amount of protein early on and make sure it's coming from an actual food source that food
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source like eggs, for example. incidentally, a rule of thumb, protein typically has four calories a gram and seeing more than that in this particular shake, you are getting added stuff. another question from jack specifically talking about sodium saying his doctor said he needed to cut back. how to do it, he asks. jack, first of all, may be one of the most important questions we answer and coming to sodium, we simply eat too much. on average, four grams a day as an adult and need about half that, about two grams a day. the study came out saying if you get down the two grams a day we could potentially save 150,000 lives a year simply from the one thing. frozen foods. they're going to have a lot of sodium for lots of different reasons but mainly because sodium is a good preservative. canned foods, parents like me will go to canned foods and you can get about 950 grams, almost a gram of sodium just from something like this. far too much for an adult and far too much for most kids, as
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well. cereals, also. an important food choice for many homes. make sure to read those labels, again. one thing about reading labels, as well, when you read labels try to find foods or foods like this with less than five ingredients. that will help. coming to sodium again, one thing we do in your house is leave crackers and cookies out on a big box and that's important to find the substitutes, as well. we don't leave salt shakers out there but finding a substitute like this, flavorings, you can both cut down on the sodium and increase your potassium and possibly solve a lot of those problems. i love the questions. keep them coming. we'll try to get to as many as we can. ♪
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we are back with "sgmd." when i was in medical school i learned of the importance of listening to patients and that's the focus of a book called "every patient tells a story." and the author dr. lisa sanders is here today. she writes for "the new york times" magazine diagnosis column and technical adviser for "house." >> yes. >> prets interesting background there. >> i like to keep busy. >> one thing people may not know about you is you were a television producer first and then went to medical school and dabbling in both.
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>> not really. no. i was a television producer. that was great. my mid life crisis i decided to go to medical school and be a doctor. >> you're a producer for 12 yores and then went back. something specific? you called it a mid life crisis but what happened? >> no, it wasn't really a crisis. a few years before i made the decision to go to medical school i was with a correspondent i worked with, bob ar naught. we were shooting something about white water rafting on a river in north carolina. and i was looking at him and the monitor and he was coming down the white water looked fantastic and he was doing the stand-up and he disappeared from the screen and the camera sort of runs around looking for him and he is up on the bank and pulling this elderly woman out of the water and i'd never seen this in real life but then he did cpr and she came back. it was really -- it was really amazing. i thought, wow.
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i've never saved anybody's life an i probably never will. it sort of struck me that maybe i wanted to. and i didn't quit television right then and there but it did plant the seed that maybe there was something else i wanted to do. >> the mystery patients, what is it about the mysteries? is it the way to solve the mystery, the doctor simply pays more attention? more awe institute? order more tests. how do you go about solving a mystery? >> one thing you don't do is order more tests. certainly -- >> spinal tap and functional mri. >> he is special. >> does that drive you crazy? >> television has its own requirements. drama. when medicine is done right, it is not exciting. right? it is very boring. so medicine is not really exciting and television needs to be exciting so, you know -- >> inject a little drama. fair enough. order more tests as the case may be.
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>> but they love, you know, that show really loves what i love in medicine which is this detective story. you know, "house" is really sherlock holmes. >> what are the ingredients to solve a mystery? >> well, i don't know that anybody knows but i think certainly paying attention is very important. when doctors tell me they never see any interesting cases, you know, i feel bad for them because i think it means they're not fully paying attention all the time. they may be a little bored with their job and not paying attention so i think paying attention is very important. >> how do you -- is this part of your a discussion with your medical students? new earesident students and the art of the diagnosis? how do you get people to understand that? >> well, i tell them that fascinating cases are passing in front of their nose every day. and if they're not seeing them, it's because they're not paying attention. you know, even if somebody has just a classic hospital disease,
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pneumon pneumonia, chances are excellent the pneumonia is different than somebody else's pneumonia and a certain percentage of the time it is something different and if you're not paying attention, you are going to miss it. >> that's a look inside the mind of a medical detective. she's going to stick with us now for the most important thing that we can look for in our own doctor. stay with us. quite frankly, i can respect that. we want to make this a company all americans can be proud of again. that's why i'm here to announce we have repaid our government loan, in full, with interest, five years ahead of the original schedule. but there's still more to do. our goal is to exceed every expectation you've set for us. we're putting people back to work, designing, building, and selling the best cars and trucks in the world.
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we are back with the program. dr. lisa sanders joinses me. author of "every patient tells a story." what should a patient look for in a good doctor? diligent, figuring out things,
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not doing too many tests. how does a patient find doctors like that? >> the first thing to do is to ask your friends. not just ask them, who's your doctor, and do you like your doctor? most people say they like their doctor. but say, really, why do you like your doctor? because there are things that you might like in a doctor that other people won't like. you know, i like somebody direct, straightforward, cuts to the chase. my husband does not. he needs somebody to pretty much take him out to dinner before he gets any information. you need to know yourself. mort important, the most important thing, is is that doctor paying attention to you? is that doctor listening to what you have to say? i think that we have to reform late a doctor/patient relationship. i actually vi a doctor and patient are experts who be working together from different perspectives on the same problem. the doctor is the expert on bodies in general and diseases
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in general, but the patient is the expert on this particular body, and these particular symptom, and if you don't work together, then you're not going to -- you may not get the answer as easily as you should. >> well put. what if you're the patient and you like your doctor, for all the reasons you said, but you don't agree with them. they're going down this road. they think it's x, y or z and you're pretty convinced you're over here. what do you do, then, as a patient? >> i think there's room to negotiate. my husband, when he quit his job to write a book started getting these dizzy spell, and to me i wasn't even in medical school at time and i said, oh, this is stress, and he said, no, no. this is real. this is real. and he went to his doctor and side think i have a brain tumor. the doctor goes, no. this is stress. he said that. the third time he came back and said, i really think i need the head ct. the doctor says, okay, fine.
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got a head ct. of course, it was completely normal. that solved all of this problems. >> was that right to that doctor to do, though? >> i think there's no -- certainly we can't see inside the skull, and i think that patients are able to feel things inside their body that they may not be able to express. so as it turned out, my husband did not have a brain tumor and thank goodness, but, you know, it would be pretty arrogant if somebody is so insistent to consistently go absolutely not. because there are brain tumors that don't cause weakness. i don't have to tell you that. >> you going to keep doing what you're doing, writing for the "new york times," technical adviser for the show, where you want to be in your wife? >> yep. so far so good. every day i wake up and am excited to be here and find out what's happening next. >> fascinating discussion.
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i learned a lot and always enjoy you. thank you. >> thank you. school lunches have long been a folk kniss the fight against obesity, but a national security threat? well, a group of retired military officers say school lunches are simply making american kids too fat. the report claims 27% of americans age 17 to 24 are now too overweight to join the military and their focus is on these school lunches. so we decided to do, look at what a typical school lunch looks like. this is taken directly from a menu on a friday in april. you can take a look there. you have a pear, baked beans. all totals to 800 calories. 853 calories and 23 grams of fat. one meal specifically. the real problem as i see it. even if these students chose the healthy lunch, this is what it might look like. not a bad looking salad. a chicken chef salad with skim
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milk. 532 calories. 18.87 grams of fat. 90 calories. skim milk, awed that up, 622 calories. nearly 19 grams of fat. healthy lunch, not so healthy lunch. really not that much different and tell you, the parent and doctor spending time looking at the actual numbers like that, it makes all the difference. even a salad can be loaded with fat and calories. in fact, my wife and i evenen used this exact sort of thing as a criteria when picking schools. it is best to be informed about this sort of thing. which leads us to our "medical mystery." do you know what this is? something you put in your body every day. now the government is regulating how much you can actually eat.
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we are back with "sgmd." the u.s. military operation in haiti is winding down. right now about 2,200 u.s. troops are helping with earthquake relief efforts compared to 22,000 at the peak. by june forecasting forward u.s. officials expect about 500 national guard and reserve troops to be staked in haiti doing humanitarian work. officials say aid agencies and groups like usaid continue to expand numbers making dropping numbers like this even possible. outside our "medical mystery" of the week. something we pit in our bodies every day. the answer is salt. here's the point. this week government regulators plan to work with health experts in the food industry towards establishing the first legal limits ever for sodium in processed foods. as i talked about earlier, frozen foods contain a lot of sodium. turns up salt is a preservative.
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most have higher leveling than you think. canned foods as well. soup. can have your entire day's worth of sodium in just a can. something you think is a healthy option. the institute of medicine, sort of a science arm of the national academy of science is urging the fda to cut back the sodium recommendations and create what they call a national average. trying to figure how much salt you're likely to eat in a particular day and bring that number down. again, the concern being that high levels of salt can increase your risk of heart steak and stroke. we should point out this doesn't come without controversy. there's a thing out there called the salt institute representing salt makers saying all of this is over-regulation. the government is conducting a clinical trial on society. you know, we keep coming back with something we talked about a few weeks ago. the stanford study says he could save 150,000 live as year, think about that, simply by reducing salt. really not a mystery after all. if you missed any part of

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